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NPI Code Detail

MEDICARE: DR. TODD ELLIS SHATKIN DDS

MEDICARE:  DR. TODD ELLIS SHATKIN  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry42391-1NY

General Provider Information

NPI Number : 1871684720
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TODD ELLIS SHATKIN DDS
Provider Business Mailing Address
First Line : 2500 KENSINGTON AVE
Second Line :
City : AMHERST
State : NY
Zip : 14226-4927
Country : US
Telephone Number : 716-839-1700
Fax Number : 716-839-1772
Provider Business Practice Location Address
First Line : 2500 KENSINGTON AVE
Second Line :
City : AMHERST
State : NY
Zip : 14226-4927
Country : US
Telephone Number : 716-839-1700
Fax Number : 716-839-1772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/08/2007

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Directions to “ DR. TODD ELLIS SHATKIN DDS” Practice Location

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